Wednesday, October 23, 2019

Act three of the crucible Essay

This leaves Mary Warren accused, with no way out, as Abigail expands on this statement to make it seem more realistic. Abigail has achieved what she wanted, she has gotten the attention away from herself using her accusations. The tension builds as we don’t know what Abigail is going to do next and we know that she is capable of destroying peoples lives. The Puritan society meant that everything revolved around God, the girls, knowing this, found that the strongest way to act was to accuse people of being against God. It would make them look in a better light as they are doing Gods work by ferreting the evil out of the village. Danforth, Hale and Hathorne believe that God is using the girls to help the village. This constant reference to the Bible and repetition of the puritan beliefs adds to the tension as it shows that they will not doubt the â€Å"messengers of God†. There is also a moment of humour were Proctor forgets one of the commandments, when he is trying to prove his wife’s innocence. Throughout the whole ordeal Proctor stands as the voice of reason, speaking the truth but not being heard over the tumult of lies. He voices sensible faults to Abigail’s accusations. When Abigail sees a yellow bird, Proctor says that he can’t see it and asks Hale the same thing even though he is being quieted by Danforth as he is trying to get the words out. He asks Hale because he thinks that Hale is starting to lose faith in the reliability of the court and calls to him for back up and support. He frantically tries to tell Danforth that the girls are just pretending in order to help Mary Warren, other wise he would feel guilty for Mary’s fate because he brought her there and told her to face up to Abigail and to tell the truth, â€Å"They’re pretending, Mr. Danforth! . . . They’re gulling you Mister! † This again adds to the tension as everyone is shouting over each other and the anger builds. As soon as everyone has been calmed down, once more they begin to yell their accusations over each other. The tension is built in peaks and troughs to keep the audience on edge. It is first built at the beginning when the characters first come on stage. It is lulled by Hale who asks for calm, and as they discuss the proceedings rationally, it is raised once more upon the entrance of Proctor as Parris claims he is there to overthrow the court. Another raise in tension is when Proctors wife is accused of keeping poppets in the house. Proctor cannot, despite the confession of Mary Warren, convince Danforth that it did not belong to Elizabeth. Abigail becomes worried that Danforth is starting to believe Proctor and so to strengthen the girls’ story she pretends she can feel a cold wind which is freezing her. The other girls pick up the act quickly and can also feel the wind. Proctor knows that they are only acting but cannot convince anyone else, as the girls’ have done it so much they start to believe it themselves. Act three – â€Å"Abigail : I – I know not. A wind, a cold wind, has come. (her eyes fall on Mary) Mary : (terrified, pleading) Abby! Mercy : (shivering) Your Honour, I freeze! Proctor : Their pretending! Hathorne : She is cold, Your Honour, touch her! † Abigail makes several attacks like this on Mary, when her and the other girls copy everything that Mary says and the one which finally cracks her, the yellow bird story. All these fantasies which Abigail makes up adds to the tension as we do not know what will happen to Mary if she does not confess. When Mary accuses Proctor she thinks she is doing what Abigail wants her to do but it ruins Abigail’s plan to get rid of Proctors wife so she could be with him instead. This is the end of the climax where Proctor is so angry at the injustice of the events and terrified of what with happen to him that in a moment of outrage that seals his arrest and ultimate hanging when he shouts out, â€Å"I say – I say – God is dead! † In the video the fury of the towns people is shown as they, in a Theocracy, feel very strongly about blasphemy. Proctor has seen the truth as he says that both Danforth and himself are doomed to hell as they have both sinned, â€Å"Proctor : God damns our kind especially, and we will burn , we will burn together! . . . You are pulling Heaven down and raising up a whore! † Hale has had enough and says he had nothing to do with the court proceedings and the overall verdict and storms out of the court. This is the final climax that Millar was building to the end were Proctor is so angry at Abigail and the court that he doesn’t care any more. When he says, â€Å"I say – I say – God is dead! † He is basically signing his own death warrant as the tolerance for blasphemy in his society was non-existent. Proctor knew this and knew this would anger everyone but he also knew that he couldn’t win. The end of the scene ends in chaos, as Hale storms out, The court falls apart, symbolising the less than perfect world of the Theocracy and their entire beliefs, which do not work when people have the freedom to lie and cause such thing as murder to happen legally and with the authorisation of the courts. I think that the point Arthur Miller is trying to make is that people will only believe what they want to believe. Also, there is not a straight line drawn through right and wrong, how crime and punishment are often influenced by thoughts, feelings and individual ideals. I think he is also trying to say that good doesn’t always conquer over evil no matter how superior their principals, intensions or morals are. Stephanie Moore English – Crucible essay Show preview only The above preview is unformatted text This student written piece of work is one of many that can be found in our GCSE Arthur Miller section.

Tuesday, October 22, 2019

Qualitative and Quantitative Studies Within Mental Health Care

Qualitative and Quantitative Studies Within Mental Health Care Free Online Research Papers This essay will look at a critical review of research of one qualitative paper and one quantitative paper (Cohen 2002) says that qualitative research study can mean the analysis of open-ended questions where respondents are asked to write on a survey. It also can refer to what is thought of as naturalistic research. Parahoo (1997) describes quantitative research as providing hard, objective facts that can be statistically analysed and interpreted. Those who support a quantitative approach point to the value of objective, systemic observations for nursing practice. The main aim of research is to help us gain knowledge in the field we study, in this case nursing. As Cormack (2000), explains that ‘it is done through a process of systemic enquiry governed by scientific principle’. A definition of research was offered by Macleod and Clark (1989) cited in Cormack (2000) as ‘an attempt to increase the sum of what is known, usually referred to as â€Å" a body of knowledge†, by the discovery of new facts or relationships through a process of systemic scientific enquiry, the research process.’ The articles will be critiqued separately, with each section of the Rees (2001) critiquing framework applied (see appendices 3). For the purpose of this essay, I will explore the related literature on schizophrenia and the associated problems involved as an aspect in mental health. There will be a written reflection on the two articles to help support findings which relate to mental health issues. The author used the Cardiff University database web site, such as the Calmative Index of Nursing and Allied Healthcare (CINAHL), British Medical Journal, and Ovid Medline in the university Library. The author was able to find two research articles relating to Schizophrenia. The first article is of Australian origin by Rene Geanellos (2005) entitled ‘Adversity as opportunity: Living with Schizophrenia and Developing a Resilient Self’. Article two is Barker and Trenchard (2005) which is a quantitative article of British origin entitled, ‘Positive Practice and Psychosis Care and the Role of the Community Mental Health Nurse’. Key words were used to help assist the author in the research process such as: psychosis schizophrenia qualitative quantitative research critiquing psychosis ARTICLE ONE QUALITATIVE CRITQUE Heading Adversity as Opportunity: Living with Schizophrenia and Developing a Resilient Self. Focus Geanellos, firstly says that living with schizophrenia develops resilience (meaning how you as a person, your personality, your character), handles the disorder and adapts this unwanted disease. Key words used are: Resilience Adaptation Adversity Schizophrenia Self It also goes on to mention words such as: Hermeneutically Wisely Mindfully Recovery Background The author states that this study sought to understand people’s intersubjective experience of living with schizophrenia using Gadamerian Hermeneutics for guidance. The author also states that schizophrenia is a costly disorder, which is personal, social and vocational. The costs result from disabling symptoms, medication side effects, inadequate treatment, factors relating to mental health clinicians/services. To rationalize the research, the author considers three points. Firstly, most research on schizophrenia is biomedical, seeking to explicate cause and effect and most treatment is pharmacological, which is seeking to remedy cause and effect. Secondly, a biomedical focus marginalizes issues like poverty, unemployment, housing and health and results in a dominant bio-medical view of schizophrenia. Thirdly, research focuses on some aspects of the disorder instead of people’s experiences of it; therefore, the authors present study contribution is an attempt to bridge this gap. It appears to this writer that the author (Geanellos) is trying to highlight that the bio medical and pharmacological model predominates with little or no psychological input. The bio-medical model stands accused of taking little or no account of a person’s strengths and resilience to overcome his or her condition. This writer can now start to understand the reasons why the author has used Gadamerian Hermeneutics, which is to try and understand, feel, and explore these individual texts, as Phillips (2002) explains that ‘Gadermeriun Hermeneutics concentrates on expanding horizons of understanding through dialogue, between people or between researcher and text, in which taken for granted assumptions are examined and opinions willingly put at risk’. A definition of hermeneutics is explained by Oxford dictionary (1988) ‘as the interpretation of scripture’. Gadermerian Hermeneutics is the brainchild of philosopher Hans- Georg Gadamer’s personal theory of interpretation. Gadamer saw the work of hermeneutics not as ‘developing a procedure of understanding, but to clarify further the conditions in which understanding itself takes place’ (Laverty 2006). The author chose Gadamerian Hermeneutics as his choice of interpreting people’s lived experience. This helps give structure to the phenomenological meaning and to help categorise these people’s meanings of words. Terms of Reference The aim of the study is to understand people’s intersubjective experience of living with schizophrenia (the phenomena). The phenomenological research method is unlike most other research methods in that it has no scientific framework. It places sole credibility on a persons own lived experience and his or her own perceptions of events, emotions, outcomes etc. The person can be the only expert on him or herself. Study Design The author uses Gadamerian Hermeneutics to guide the study and the stories were hermeneutically interpreted, seeking to understand the individual meaning (single stories) and collective meaning (all the stories). This is his representation of the phenomenon. Wilson and Hutchinson (1991) cited in (Laverty 2003) hermeneutic phenomenology as being ‘concerned with the life, world or human experience as it is lived’. This would be classed as phenomenological. This research uses the ability and willingness of people who suffer with schizophrenia to write their stories and have them published, and then reflect on the written experience. Therefore, this is the phenomenological, qualitative specific approach, Tool of Data Collection The author’s data was collected from The Schizophrenia Bulletin, between 1990 and 2003. They are published articles which consist of nineteen personal accounts, some of them were anonymous. There were also carers, family members, and health professionals published. The author’s tool of collecting data was to understand each story told and its individual meaning, and then read all the stories to give a collective meaning. There appears to be no factual evidence to suggest that these published articles are convincing enough to give any imaginable depth to the reader. The writer feels that these words could simply be from a book, which anyone could have written. This writer feels that this is a main weakness of trying to research using an intersubjective approach, as trust is paramount from the client and clinician if this particular study is going to work. Also another area to consider is that the articles are from numerous resources, which accumulates to the potential of being past through a numerous amounts of hands before they were published. It has the potential to be diluted. Even so, the beauty of this type of research is it would allow the individual researcher to investigate what ever was written resulting in an individual outcome. As Geanellos says, ‘Because of interpreter misunderstandings and the plurality of language, however, my understanding and representation of the phenomenon is one of many.’ However, Rees says that, ‘to contribute to the credibility in the data collected, areas such as the environment, the period of time and any other details that allows us to visualize the conduct of data are helpful and often necessary’ (Rees 2001).’ The author has used a bracketing type system in order to clarify his role in the process of meaning and give a constructed approach. Bracketing is a mathematical metaphor that involves putting ones attitude to the world in brackets in order to place it temporarily out of the question, which helps the reader / researcher assistants to arrive at a more adequate knowledge of reality (Spinelli 1992). The research article takes Meta themes of the client’s experiences to explore the development of resilience. For example: The faà §ade of normalcy: desperately trying to appear normal. Considerable anguish: the pain of suffering and enduring alone. The researcher has classed these under the theme one of fragmentation. This may be contrary to the correct usage of phenomenology in research, because the basis of this philosophy is about a better understanding of individual experience and not group perceptions. Although it is worth noting, that the author in describing his methodology does state his ‘representation of the phenomena’s are one of many’. In other words it’s the individual’s perceptual understanding of context. Ethical Consideration What the writer appears to have noticed is the lack of ethical consideration towards the use of people’s names and their words, with no written evidence of permission from them. It also doesn’t mention at what stage of illness or recovery they are in, as the writer feels this would alter the interpretation of people’s expression of words. Even though this study was conducted in Australia and not in the UK, the writer would assume that similar confidentiality rights would apply. Sample The researcher used nineteen people’s stories randomly from The Schizophrenia Bulletin. It is a journal, which publishes first person accounts of people’s experiences of mental illness. At first reading, the subjects appeared to have the required background, i.e. all have schizophrenia and describe their experiences and living with it. As already discussed, it is then difficult to see that the subjects aren’t biased, as the author states at the outset, it is a subjective study and that the author is interpreting their stories in script (hermeneutics). The author or the writer has no knowledge of who they are, or their characteristics. This vague information on such a diverse group, may then limit the research being utilised in practice, i.e. its fittingness to be applied elsewhere Rees (2001). However, this could be a good thing, as it helps eliminate a biased or prejudiced approach. Data Presentation The data presented were split up into eighteen sub-themes and these are categorised into four themes. Theme 1 Fragmentation Theme 2 Disintegration Table 3 Reintegration Table 4 Reconstruction The sub themes cover the interpretation of words used by the people’s letters that have been published. The researcher has then broken down the meaning of each sentence and has then categorised them into a Meta theme which incorporates all the themes and is named – Adversity as Opportunity, Living with Schizophrenia and Developing a Resilient Self. In each story told, the person is explaining what it is like to live with schizophrenia in his or her own words. The researcher has then subjectively categorised these words into what they perceive the person is saying. This reader finds the dialogue and description heavy with terminology and definitions, which lead’s the reader to look for background definition and detail of terminology. Accuracy of data presented may be flawed as it is based on a previous article and a diverse group of subjects whose stories were told subjectively. However, we don’t necessarily consider this a problem in phenomenology. One individual’s account of an event or an illness for the phenomenologist. It is not about masses of data, that’s quantitative. So what is true for qualitative research is as important as many people’s accounts need not necessarily be true for the phenomenological approach because it focuses on the individual. Main Findings The core effect of the main findings is the level of resilience, as Geanellos divides the sufferer’s resilience into high and low. Resilience as explained, (Oxford dictionary 1984) as ‘readily recovering from something like depression’. Have they got used to their difficulties and just live with them and not cope? Or have they become more resilient through developing self found skills and abilities that provide coping strategies? The Meta theme does not illustrate this. We all might have to live with a disability, but it is our own personal resilience to cope is the core fundamental issue. The Meta theme incorporates all the themes and is named – Adversity as opportunity: Living with Schizophrenia and Developing a Resilient Self. This appears to cover the entire data finding. The author uses Gadamerian Hermeneutics to interpret the main findings; the writer finds it a complex methodological way to interpret data. There appears to be no evidence of any content check by the people who wrote the stories, which decreases validity in the way this study was conducted. As Rees (2001) asks in his critiquing model, were their findings checked by the respondents (members check) or examined by other experts in the field? This writer asks experts in the field of what? Can someone be an expert in how someone else feels? There appears to be no evidence check, only the author’s interpretation. The writer feels that it is biased towards the author’s interpretation and not the participants. So, therefore its claim to be phenomenological in its approach must be treated with caution, because if the focus is the researchers and not the subjects (meaning the client’s), then it has broken a cardinal rule in phenomenology. Conclusion Sub themes are focused on these words, which are integral to the author’s research methodology, i.e. Meta themes, 19 persons with schizophrenia and their individual stories. In conclusion, this reader is unconvinced that the article clearly identifies the development of resilience to their illness simply by utilising collected patient experience and stories. Then uses Meta themes to highlight this increased ability to live with schizophrenia. This clearly does not pin point the development of resilience. There is no explanation of the achieved resilience by the author in the context of the article, i.e. the patient’s stories. Geanellos in his conclusion identifies resilience as ‘the ability to mediate adaptation, indeed this resilience is mindfulness, prudent and purposeful action built on foundations of tenacity and courage’. He further goes on to state that ‘they have the capacity to withstand the unexpected and to prosper despite adversity’. To finalise the conclusion, this different and non-scientific research methodology, uncertain evidence of developing resilience, do not ultimately illustrate that the story tellers have gained these laudable abilities and determinations that enhance their life and capacity to live with schizophrenia. Readability One is tempted to make assumptions about the readability of this article. Its fluency is affected by the complex use of terminology. However, this writer takes into account that complex terminology is unavoidable, but certain areas could be made simpler for the more common lay person, such as this writer. The reader could be distracted by continued movement between reading story excerpts and then examining research to better understand the article. Minimal background knowledge of the storytellers means we have no knowledge of their circumstances, i.e. elderly, young, acutely ill, chronically ill, religious or ethnic backgrounds; hence, there are no parameters in which to assess their stories, against the research themes and the evidence in practice. One could even query if evidence practice occurred, i.e. the stories do not indicate that there is any input from professional mental health workers (Mental Health Community Nurses) CMHN‘s, or even semi voluntary support. However, one or two stories mention relative care input. There also seems to be no time line of events. This makes it difficult, particularly to read the main findings. Do the storytellers relapse quickly? And gain resilience quickly? Or do they spend years chronically ill? As in losing years. As one subject describe as losing track of time by not gaining enough insight or resilience. This back and forth within the article occurs when describing patients stories where one moment the author describes an individuals experience or conditions and in the next sentence makes global statements on schizophrenia such as: ‘Schizophrenia alters life and self in such all encompassing and fundamental ways that it shatters preciously held understandings’ (Geanellos 2005). And yet, this writer feels Geanellos is showing that who ever reads peoples understanding in text, can take their own view on that interpretation. This writer concludes that there appears to be no right or wrong as many different views can be taken on what someone is trying to communicate. Relevance to Practice This qualitative study, with all its flaws gives this writer clearer insight. There appears to be no clear, straight forward answers to the understanding of others, as individual’s interpretation appears to not allow it. This qualitative paper could not be any further from a quantitative paper, as there are no statistical figures with clear percentages to follow. The author used a Meta theme to categorise the text, which gives some structure to the paper for the reader to follow, but no graphs or any other structured models used. Phenomenology is concerned with life world experience and not statistical figures with only logical explanations to hand. This article has tried to illuminate details in the account of others which may seem in the lives of ordinary people (Laverty 2003). However, I feel that it does humanise the experience of schizophrenia for the lay reader and helps to provide both the reader of this research and the subjects themselves with a greater understanding of this tragic condition in a way that quantitative research may not. ARTICLE TWO QUANTITATIVE CRITIQUE Heading ’Positive Practice in Psychosis Care’. Barker D. Trenchard S (2005). Focus The focus of this quantitative paper is the study of how Community Mental Health Nurse’s (CMHNs) become aware of their role within the Community Mental Health Team’s (CMHTs), and how community teams fit into mental health team care delivery. Key words of focus are: Caseload composition, Clinical interventions, Staff attitudes, Preparation and supervision. Background The author has justified his research on the introduction of the National Service Framework (NSF 2002) for Mental Health, with further backing by the (NICE guidelines 2002) explaining how these guidelines develop further by good underpinned practice guidelines (NICE 2002). Its focus is to examine their knowledge of CMHN’s within CMHT’s and see if they are capable of using old and newly developed knowledge, while changing with the times. Compared to the qualitative paper in appendix one, this paper has given clear and direct instructions to the reader in the area of research the author has taken. It is also explained in simple language that the novice can understand. Perhaps if the qualitative paper had taken a similar approach, it may have been easier to understand. Terms of Reference Two key words were used i.e., ‘explore and describe’. The purpose of this research is to explore CMHN’s knowledge of working with people who suffer with schizophrenia. To explore attitudes towards change and policy proposals. Also to describe CMHN’s clinical practice and confidences skills. The role of the community mental team members can be defined and understood within the changing needs of the service user and the resultant service provision required. Study Design The author used a quantitative study approach using a self – completion questionnaire, the author states that it ‘would allow for collection of large volumes of information in a systemic and standard way.’ The researchers also say that questionnaires promote honest answers, but this writer argues that completed questionnaires are only as honest as the person who completes it. Trust issues appear to be just as important in this quantitative paper as the qualitative paper, which prove to be a common denominator in both papers. Some of the areas covered to help establish a structured report was to describe the function of their team. To identify the personal attributes CMHN’s considered important with diagnosis of schizophrenia. In addition, the article identifies the consolidation and ongoing development of specific theme of knowledge and skill, engagement and relationship building communication skills, and attitudes of nurse’s towards approaches to specific patients with psychosis. The utilisation of current and recent evidence based intervention are highlighted to underpin these interventions. Date Collection Method Thoroughness appears in this area, as the researchers used this quantitative article as the pilot study ‘to identify any potential weaknesses that may be replicated at a later date’ (Trenchard and Barker 2005). Face value was also checked prior to distributing the questionnaires, by a small number of applicants for face and construct validity. However, the author’s have failed to explain the meaning of face and construct validity, i.e. face of what? Also the researchers don’t mention who has checked it (other nurses, the public etc) and what was the outcome from their point of view? Even though this writer feels that this paper appears to be ahead in its rigour compared to the previous qualitative paper. Yet it would appear ahead when any paper is guided with figures (quantitative method) to a paper that is dealing with single figures (qualitative method). So the question this writer asks, is it really a better paper? As numbers don’t count to the phenomenologist, it’s the personal experiences that count. Ethical Consideration The essay appears to retain objectivity towards their team and honesty towards the whole research study. Results were specific in their use, but as previously mentioned, the whole research paper does rely on the honesty of the questionnaires returned. Is this a major flaw in the whole of the paper? Apparently not, as Barker (1996) cited in (Barker and Trenchard 2005) suggest that when exploring sensitive topics, questionnaires are most appropriate, sparing embarrassment and promoting honest responses. Sample The inclusion and exclusion reflects the aim to develop a sample, which consists of 71 identified CMHN’s who work with people diagnosed with schizophrenia, with ages between 16 and 65 years. Of the 71 questionnaires distributed 48% responded, indicating this was a sufficient number of applicants to carry on with the research, but this writer feels that the percentage 48% 35 questionnaires is quite small to provide definitive results. However, the author acknowledges this is a small scale study ‘that offers a snapshot of CMHN practice’ though is supported by earlier and subsequent studies. The writer feels the validity is sufficient for this article content. So, at least, in terms of numbers it would appear that the quantitative research is more valid. However, one might be able to argue that this paper is more researchers centred. The researcher sets the questions. At least in the first paper the sufferers were writing their own accounts rather than just responding to questions by researchers and it is always possible that the questionnaire is pursuing an agenda set by the researchers, or even following an agenda that he or she may not be conscious of. Data Presentation The data presented is in basic layout using numbers and percentages in text. It clearly discusses the analysis and then uses a concise graph chart, pie chart and rating scales to clarify its findings. There is a clear explanation of the results obtained, enabling easy understanding of the paper and easy to read unlike the qualitative paper. The writer feels that if Geanellos had taken a simpler approach to writing, it may have made more sense to the reader. Main Findings The researchers main findings are that most of the CMHN’s (54.5%) have no specific training at all in the management of schizophrenia. However 45.5% are receiving additional supervision in additional skills, i.e. Psychosocial Intervention (PSI) Cognitive Behavioural Therapy (CBT) Family Intervention (FI) Creative Therapy (CT) One of the main findings in this research paper is that 97.1% agreed on further training, as a necessity to provide successful service. 95% preferred smaller case loads which appear to be one of the main subjects in providing a quality care to those with schizophrenia and the expectations for recovery – focused interventions. Conclusion Even though the author’s say that it is a small scale study, the findings offer a snap shot of current CMHN practice in psychosis care. The author’s mention many of the findings support earlier and subsequent studies into the dissemination of evidence based practice. They conclude that 75% felt that they could not meet all the needs of clients. Nearly all 97% agreed to further requirements to provide more effective service. They recognise recovery approaches are becoming identified but recommend that recovery is underpinned by good practice and to deter it from being the buzz word as it is not fully supported because the systems are under developed. Readability This article is straight forward to read. It has displayed its text clearly and with understandable graphs. It describes complex issues of services development, the needs of CMHN’s and services in a clear and understood format. However, it does appear to lack any sort of insight into the way the nurses themselves feel, as qualitative tries to give an understanding in trying to be that person almost, even though the method might be some what complex. Practice Implications The study offered insight into the lack of training for CMHN’s. It also goes on to report the lack of unified assessment tools used throughout this CMHT. This writer feels the article is relevant to nursing and highlights how important training and evidence based practice are. However quite a big percentage felt confident without suitable training in the field of schizophrenia. The article does not definitely state the reason why CMHN’s felt so confident without suitable training. Why CMHN,s feel so confident in their abilities despite any supporting evidence remains a mystery and the authors do not address this important issue. Perhaps a quantitative approach is not suitable to address it anyway. Quantitative research has uncovered an interesting phenomenon that could be followed through with the phenomenological approach and thus yield very valuable information which may help training practice and ultimately patients themselves. A phenomenological approach might yield important information in exploring the feelings of skilled adequacy despite there being little evidence for holding such views of competency. One could say there is room for both here. REFLECTION The qualitative article is a confusing article of mixed patients stories and unclear research findings that do not progress to a clear or even easily understood conclusion. The pre-conclusion discussion consolidates this information with its description of ‘a resilience continuum’ and the schizophrenia self. However, the quantitative paper clearly and simply sets purpose and study context. It progresses informatively, presenting results in easily understood graphs and charts, underpinning discussion topics within the article with reasonable argument and evidence based information. The author’s recommendations are realistic and reflect both the needs of the clients and the service. REFERRENCES Barker, D.Trenchard, S. (2005) Positive Practice and Psychosis care. Mental Health Nursing, l (24), 4-8. Cormack, D. (2000) The Research Process in Nursing, Black Well Science. Geanello, R. (2005) Adversity as opportunity : Living with schizophrenia and developing a resilient self. International Journal of Mental Health Nursing, 14, 7-15. Laverty, S. M. (2006) The University of Calgary, Calgary, AB. Hermeneutic Phenomenology and Phenomenology: A comparison of Historical and Methodological Consideration. HYPERLINK ualberta.ca/~iiqm/backissues/2_3final/htmal/laverty.htmal ualberta.ca/~iiqm/backissues/2_3final/htmal/laverty.htmal . 16/09/2006 LoBiondo-Wood, et al. (2002) Nursing Research Methods, Critical Appraisal and Utilization. 5th Edition. Mosby Publishing’s. Macleod Clark, J and Hockey, L. (1989) Cited in Cormack, D. (2000). The Research Process in Nursing, 4th Edition. Black Well Science. Nursing and Midwifery Council (2002) Code of Professional Conduct. 8 6.1 Parahoo, K. (1997) Nursing Research. Principles, Process and Issues. Palgrave Macmillan publishing. The National; Service Framework (DOH 1999), as cited in Article 540. Stevenson, C, Fletcher, E (2002) The Tidal Model: the questions answered. Mental Health Practice. 5, 8, 29-38 The Oxford Dictionary, (1984). Oxford University Press. Rees, C. (2001). An Introduction to Research for Midwives. Chapter 4, page 44. Spinelli, E. (1992). The Interpreted World: An Introduction to Phenomenological Psychology. London, Sage Publishing. Research Papers on Qualitative and Quantitative Studies Within Mental Health CareInfluences of Socio-Economic Status of Married MalesEffects of Television Violence on ChildrenResearch Process Part OneArguments for Physician-Assisted Suicide (PAS)The Relationship Between Delinquency and Drug UseThree Concepts of PsychodynamicThe Project Managment Office SystemPersonal Experience with Teen PregnancyNever Been Kicked Out of a Place This NiceGenetic Engineering

Monday, October 21, 2019

Spanish Words Meaning Half

Spanish Words Meaning Half The English word half can be translated to Spanish in several ways, depending on, among other things, what part of speech it is used as. Medio (Adjective) Medio is used as an adjective, and as such it agrees with the noun it refers to in number and gender. Examples El edificio ocupa una media manzana. (The building occupies half a block.) Contiene sà ³lo 103 calorà ­as por media taza. (It has only 103 calories per half-cup.)Es medio hombre, medio vampiro. (Hes half man, half vampire.) Pasaban las horas y las medias horas tambià ©n. (The hours passed, and so did the half-hours.) In some cases, the noun that medio (or one of its variations) refers to can be omitted. Examples Hay tres clases semanales de una hora y media. (There are three weekly classes of an hour and a half.) Necesito una cuchara y media de azà ºcar. (I need a spoonful and a half of sugar.) Medio (Adverb) Medio also is used as an adverb, usually referring to adjectives. In standard Spanish, it is invariable, not changing in number or gender with the adjective it refers to. (In some areas, it is not unusual in spoken Spanish to change the form of medio to agree with the adjective, but such use is considered substandard.) Examples  ¿No ser una de esas mujeres medio locas? (You wouldnt be one of those half-crazy women?) Siempre te veo medio borracho. (I always see you half-drunk.) La tarea est medio hecha. (The homework is half-done.) A Medias A medias is a phrase that can function as either an adjective or adverb. Examples Accesibilidad a medias no es accesibilidad. (Half-accessibility isnt accessibility.) Esa informacià ³n contiene verdades a medias. (The information contains half-truths.) La mirilla me permite ver a medias la silueta. (The peephole lets me half-see the outline.) Comprendo a medias muchas canciones en inglà ©s. (I half-understand many songs in English.) La Mitad La mitad, which often means middle, can also be used as a noun to mean half. Examples El vino rojo reduce a la mitad el riesgo. (Red wine reduces the risk to half.) Replantaremos la mitad del cà ©sped. (We will replant half the lawn.) Cada segundo se crea un blog nuevo, pero solo la mitad permanecen activos. (Each second a new blog is created, but only half remain active.)  ¡Cartuchos de impresora a mitad de precio! (Printer cartridges at half price!)

Sunday, October 20, 2019

Romeo and Juliet Essays

Romeo and Juliet Essays Romeo and Juliet Essays Romeo and Juliet Essays Romeo and Juliet essays are hard to write because of the wealth of criticism available online. You may think differently. However, you should not forget that wealth of information leaves little space for your own creative writing. It means that you can hardly write something new when everything has already been written.   Read the following sample essay on Romeo and Juliet.   It is well-written and you will definitely get some interesting ideas out of it. If you are looking for individual help with writing, we offer you to try our custom essay writing services. We are never late with essay delivery and we guarantee quick and adequate revisions. Our writers will not let you down because we value your trust and choice of our writing services! You may also take a look at tips on how to write a good college essay or critical literary essay . In addition, review the following article outlining characteristics of great essays! Romeo and Juliet Essay Sample In Romeo and Juliet, remarks an acute analyst of Shakespeare's symbolism, 'the dominating image is light, every form and manifestation of it'. The tapers and torches that burn for Capulet's ball are put to shame by the flood of moonlight that lies beneath his daughter's window, and 'tips with silver all these fruit-tree tops'; Juliet appears in a brightly-lit casement As glorious to this night, being o'er my head,As is a winged messenger of heavenUnto the white-upturned wondering eyesOf mortals that fall back to gaze on himWhen he bestrides the lazy-passing clouds . . . She compares the shock of Romeo's sudden wild declaration to the effect of a glimmering sheet of summer lightning: ... Although I joy in thee,I have no joy of this contract tonight:It is too rash, too unadvised, too sudden,Too like the lightning, which doth cease to beEre one can say 'It lightens' . . . The lovers' moment of happiness ends with the dawn, as 'envious streaks' begin to lace the East, and 'Night's candle s' slowly pale and die; and the beauty and brevity of love itselfthat 'brief light', doomed to quick extinction, celebrated in Catullus' famous lyric-are set off by the 'perpetual darkness' of ancient Capulets' sepulchral vault. Yet Shakespeare's play has its sensuous undertones, and is alive with worldly bustling characters. His wit is seen at its boldest and bawdiest. The opening passage, where Sampson and Gregory, servants of the Capulets, decide to pick a quarrel with the retainers of the Montagues, is already rich in sexual jokes; and Mercutio is a fount of genial obscenities, including one reference so abstrusely phrased that it escapes the average modern reader. 1 Shakespeare's bawdy has often puzzled his critics. Robert Bridges believed that it was imposed on him by his disreputable contemporary audience, 'those wretched beings who can never be forgiven their share in preventing the greatest poet and dramatist of the world from being the best artist'; while Bernard Shaw sugg ested that his 'incorrigible addiction to smutty jokes' was fostered by his snobbish anxiety to resemble a member of the upper classes, the aristocrat, according to Shaw, being always particularly lewd in speech. Shakespeare, however, was representative of his period; and, although the Elizabethans' attitude towards love was not uncomplicated by neurotic feelings-with a pagan delight in the flesh went disgust, remorse and guilty fearthey understood that the Heavenly and the Earthly Venus are twin manifestations of the same divinity, and that, if one is to be properly served, the other must be duly honoured. Romeo and Juliet Essay Custom Writing Did you like the above sample essay?   Do you want to get a unique essay about Romeo and Juliet written especially for you?   We guarantee adequate support and on time delivery of custom written essays. We are ready to write your essay even if your deadline is in less than 12 hours from now! You will be pleasantly surprised with our prices. Is high quality possible at the low price? At our site – yes!

Saturday, October 19, 2019

Iron Ore Dissertation Example | Topics and Well Written Essays - 3750 words

Iron Ore - Dissertation Example However, most of the reserves that harbor such natural ores have now been depleted. Pig iron is made out of iron ore. This pig iron is one of the main raw materials used in the making of steel. Iron ore is believed to contribute more to the global economy than any other commodity in the world. Hematite is the main iron ore in the Brazilian miles (Axinn 2006). In the global world, metallic world is virtually unknown. It is the fourth most abundant element in the world, though, silicate or carbonate minerals are the vastest minerals. Formidable and extremely energy intensive barriers often are used to separate supremely pure iron from other minerals (David 2006). Before the industrial revolution, most of the iron used was obtained from goethite, which was widely available. Societies during the pre historic times used laterite as the main source of ore. Most of the iron ore used by the emergent industrialized societies was obtained from haematite. These deposits are often called the nat ural ores. The increased iron ore demands in conjunction with the depletion of the most high quality haematite in the United States of America led to development of low quality sources of iron. This happened especially after Second World War. These lower sources of iron require beneficiation to improve on their quality. Magnetite on the other hand, is used due to its magnetic properties. Therefore, it is able to be separated easily from other minerals and was able to produce high quality concentrate with minimal impurities. The mining of these iron ores vary considerably with the type of ore that is being mined. Currently, there are four types of ores of iron being worked on. The business of mining ore is often a low margin one due to the significant low level of iron than other base metals. It is expensive to mine, meaning it is extremely capital intensive. It requires a heavy investment in infrastructure such as rail transport in order to transport the ore from the mining sites to the freight ship. Therefore, mining of ore is concentrated among the majority few. The world leading and largest iron producer is Brazil. This mining corporation is referred to as vale. Other developed countries follow the line due to the high costs involved in the mining and transportation of the ore. My research question arises from my curiosity to find out how iron ore is produced, consumed and distributed in the global market. This is because I understand that the cost involved in its mining process and transportation is quite high. Therefore, I would like to find out how extreme the ore is mined and the processes used in the mining process (Edward 2007). Executive Summary This research is concerned with the production, consumption and distribution of iron ore globally. In other words, it seeks to show candidly the cycle of iron ores from its mining and separation from impurities until the moment it is processed and distributed to the global market for various uses. The researc h shows all the methods used in extraction of these iron ores and how it is separated from other metallic substances or impurities. It also reveals research rationale that is used in carrying out my research. In addition, this research paper has addressed my research question based on the prevailing international market and all the key findings that emerge (Institute 1997). Moreover, the methodology I use to address the research question is emergent in the research paper. The paper

Friday, October 18, 2019

History of the Multinational Oil Market Literature review

History of the Multinational Oil Market - Literature review Example This research will begin with the statement that there are many relates to oil discoveries from American explorers. They encountered oil deposits in some forms. Also, there is the early discovery of oil in the Middle East. On a 1775s map of the English Middle Colonies, Louis Evans located deposits along the eastern seaboard. The oil was used for many purposes. Before the Industrial Revolution, the main usage was for kerosene. The regular oil lamps were upgraded to kerosene lamps and in 1859 Samuel Downer, Jr. patented â€Å"kerosene† as a trade name and licensed its usage. In the same year, a 69 feet deep was drilled at Titusville, Pennsylvania ( U.S.) to tap oil. This was the beginning of the operations of the first oil corporation. As whale oil increased in price because of the scarcity of that mammal, the rock oil industry boomed in the United States. The success of the Titusville’s oil-well stimulated consumers to increase the use of oil. The purpose of this article is to provide a historical overview of the multinational oil market and explain how it influences the political relationships between countries. Standard Oil Company Montague, in the article â€Å" The Rise and Progress of the Standard Oil Company† relates this discovery with the production of crude and explain it contributed to the rise of the first oil corporation. In the next years, many successful oil wells were discovered. In 1865 Mr. Rockefeller was constructing a refinery in oil exploitation ( Pithole Creek). The demand for petroleum products was increasing exponentially and so the wells. Mr. Rockefeller saw the exigency to secure the business and increase their capital. And in 1870 he promoted the Standard Oil Company with the union of Rockefeller, Andrews & Flagler the refineries of William Rockefeller & Co., Rockefeller & Andrews, Rockefeller & Co., S. V. Harkness, and H. M. Flagler ( Montague, 1904). As Mr. Rockefeller said the reasons for this union were: â€Å" The cause leading to the combination was the desire to unite our skill and capital, in order to carry on a business of some magnitude and importance in place of the small business that each had separately heretofore carried on.† With the Standard Oil Alliance, Mr. Rockefeller controlled not only the oil production but also the transportation system ( better rates were granted for them). In those years the Standard Oil Alliance achieved the monopoly of the oil industry ( Montague, 1904). The Spindletop Oilfield There was an important oil discovery near Beaumont, Texas in 1901 that modified the course of the oil industry in those days. It was the Spindletop Gusher one of the largest oil strikes rise up. With this discovery, many oil companies have been founded ( more than fifteen hundred) and others moved to Beaumont. Robert Wooster and Christine Moor Sands in their article â€Å"Spindletop Oilfield† relates the Spindletop Gusher with the start of many oil companies.  

Motivation and Performance Essay Example | Topics and Well Written Essays - 1500 words

Motivation and Performance - Essay Example In fact the intrinsic motivation is preferable as the employee develops affinity with the organization and considers the welfare of the organization to be his wellbeing. This improves his productivity and performance since it will go along with his satisfaction. Such employees are also loyal to the company's cause. In contrast the employee who looks for extrinsic motivation becomes greedy in anticipation and looks for alternatives to promote his own wellbeing. Two academic articles have been put up for review. Seijts, G.H., Latham, G.P., Tasa, K. & Latham, B.W. (2004) in their article "Goal setting and goal orientation: An integration of two different yet related literatures" published in the Academy of Management Journal suggest that goal orientation and goal setting are two different fields that are unfortunately considered as one composite by most authors. In their view this does not augur well in establishing that motivation and devotion are the causative elements of better performance by employees. They argue that goal setting does not take into consideration the level of preparedness or personality of the employee who is expected to benefit out of it and in turn the company does not gain in terms of better productivity. In their view goal orientation paves the way for better understanding of the goals set and help to eventually realize the same to benefit both the employee as well as the organization. They have gone on to state that self-efficacy and quest for information act as a go-between the effect of a learning goal on performance. In their final view they confirm that their results were based on a single industry that was service oriented. For this they have relied on empirical research and have applied the same with their well explained theories. Two of the authors - Latham and Latham- have written profusely on the subject in various other publications and have covered the subject widely. On the other hand Marsden, D. (2004) has relied on the case studies of non-profit companies, to write "The role of performance-related pay in renegotiation the "effort bargain".' published in the Industrial & Labor Relations Review. His research of mostly state owned or controlled companies led him to the conclusion that although rewards and schemes that result from goal setting have been quite successful, the motivation of the participants was not a contributory factor in the end result. This appears contradictory but the author has rather convincingly proven his point in case using the empirical evidence with subjective questioning that brought out this fact. He has correctly diagnosed that the leaders and managers are under the wrong impression that their performance related schemes have borne results out of motivation despite the results being according to their expectations. He however is not reluctant to state that the out come of performance related pay has resulted in higher productivity due more to the smart use of the management ploy. Indeed it appears that this scheme has been rather well exploited by the employees and they have been able to use it as a tool to negotiate better deals for themselves. While the managements have been convinced that performance related pay has improved the productivity in services, the real fact is that the employees have craftily used this as a lever to